MDC MAGIC VALLEY – NPI #1295729283
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

MDC MAGIC VALLEY is a community based residential treatment facility located in TWIN FALLS, ID. NPPES has assigned the NPI number 1295729283 to MDC MAGIC VALLEY on September 06, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MDC MAGIC VALLEY” is a dba name, the actual legal business name for this organization is MIDNIGHT OIL LTD.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 14 years ago on Jan 24, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MDC MAGIC VALLEY below.

NPI Profile for
MIDNIGHT OIL LTD.

NPI Number
1295729283
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIDNIGHT OIL LTD.
Doing Business As (dba): MDC MAGIC VALLEY
Primary location
798 LAWRENCE AVE
TWIN FALLS, ID 83301-3635
Phone: (208) 324-6776 Fax: (208) 324-6636
Mailing address
498 FALLS AVE W
TWIN FALLS, ID 83301-3689
Phone: (208) 324-6776 Fax: (208) 324-6636
Organization Subpart
No
Authorized Official
ROB BENNETT
PROGRAM DIRECTOR
Phone: (208) 324-6776
Updated
Identifiers

Identifiers for MDC MAGIC VALLEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDID806659900
MEDICAIDID806868800
MEDICAIDID807037200
MEDICAIDID807628200
MEDICAIDID807035800
MEDICAIDID806667800
MEDICAIDID806706300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.